STEPHANIE ELIZABETH WALLACE - IDPR Registered License in California | # 246000406

STEPHANIE ELIZABETH WALLACE

Business Entity

NOT RENEWED

License Type

IDPR Registered

Description

GENETIC COUNSELOR

License Number

246000406

License Status

NOT RENEWED

Business

N

First Name

STEPHANIE

Middle

ELIZABETH

Last Name

WALLACE

Business Name

STEPHANIE ELIZABETH WALLACE

Original Issue Date

11/27/2018

Effective Date

11/08/2020

Expiration Date

01/31/2023

State

CA

Ever Disciplined

N

LastModifiedDate

03/31/2023